IndividualActive
Ann Wagner, PHD, LP
NPI 1548207178 · Clinical Psychologist · Minneapolis, MN
Provider details
- NPI number
- 1548207178
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD, LP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4216 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
Po Box 17141
Minneapolis, MN 55417-0141
Phone: (612) 581-8459
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 14171
Minneapolis, MN 55417
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2025-11-17
- Certified
- 2025-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.